Uncommon Cause of Endotracheal Tube Obstruction during Anesthesia Recovery

Intraoperative ventilatory failure is a critical event that has been associated with various causes. However, Endotracheal Tube (ETT) obstruction remains a difficult one to recognize. It can result from blood impaction, mucus plug, manufacturing defects, and tube malfunction [1]. Once the diagnosis of ETT obstruction has been reached, a prompt response is required to restore ventilation. Replacement of the ETT is a cornerstone in management. This case report describes a sudden ventilatory failure at the end of a surgical procedure in a child under general anesthesia. A blood clot obstructing the ETT was detected and successfully managed.